All Volumes in the Series “Single Surgical Procedures in Obstetrics and ”

This book is one of the titles in the series of Single – C NDVH - Debulking by Coring Surgical Procedures in Obstetrics and Gynaecology, a VOL-6 Biopsy of cervix NDVH - Debulking by spiral incision series which will eventually have 36 volumes. Cervical conisation NDVH - Debulking by cervical amputation If you wish to be kept informed of new additions Endocervical curettage at NDVH - Debulking by cervical wedge to the series and receive details of our other titles, Conisation of cervix by LEEP *VOL-12 Ward Mayo's please write to Jaypee Brothers Medical Publishers Electrocauterisation of cervix Modified Ward Mayo's hysterectomy— (P) Ltd at [email protected]. Cervical cryocauterisation Dr Nagrath's modification VOL-7 Trachelorrhaphy Clampless vaginal hysterectomy We list below a few of the other titles in print and in Abdominal excision of cervical stump VOL-8 Correction of incompetent cervix by -D3 preparation in the Single Surgical Procedures series. Shirodkar's technique VOL-13 Dilatation and curettage Titles already published are marked (*); those titles Correction of incompetent cervix by Suction curettage for abortion to be published during the coming months are marked McDonald's operation Dilatation and (#). Correction of incompetent cervix by Fractional curettage Lash operation – A *VOL-14 Upper segment caesarean section *VOL-1 Bartholin's gland excision UTERUS: ABDOMINAL HYSTERECTOMY-D1 Lower segment caesarean section Marsupilisation of Bartholin cyst VOL-9 Total abdominal hysterectomy UTERUS: DISPLACEMENTS-D4 Release of labial fusion Total abdominal hysterectomy with *VOL-15 Cervicopexy (Purandare's) VOL-2 Hymenectomy (Imperforate hymen) bilateral salpingo- *VOL-16 Supravaginal cervical amputation (Nadkarni's) Simple Nagrath's minilap hysterectomy *VOL-17 Manchester's operation VOL-10 Abdominal subtotal hysterectomy Fothergill's repair – B Obstetrical hysterectomy VOL-3 Anterior colporrhaphy and Kelly's plication *VOL-18 Shirodkar's anterior sling Posterior colpoperineorrhaphy UTERUS: VAGINAL HYSTERECTOMY-D2 Shirodkar's posterior sling Vaginal repair of enterocoel VOL-11 NDVH - Conventional approach VOL-19 LeFort's operation Abdominal repair of enterocoel NDVH - With salpingo-oophorectomy Gilliam's operation *VOL-4 Complete perineal tear repair NDVH - Debulking by uterine bisection Modified Gilliam's operation VOL-5 Fenton's operation NDVH - Debulking by wedge excision William Richardson's operation Episiotomy NDVH - Debulking by myomectomy *VOL-20 Ventral suspension of vaginal vault Schuchardt's operation NDVH - Debulking by morcellation Abdominal sacro-colpopexy UTERUS: MYOMECTOMY-D5 FEMALE STERILISATION-E3 Marshall Marchetti Krantz operation VOL- 21 Myomectomy for Fundal fibroid, Hood's VOL-26 Laparoscopic sterilisation by silastic bands Burch suspension operation operation Sterilisation by minilaparotomy technique Myomectomy for anterior wall fibroid Sterilisation by Pomeroy's operation CONGENITAL ANOMALIES-HI VOL-30 Strassmenn's utriculoplasty Myomectomy for isthmic fibroid Sterilisation by modified Pomeroy's Jone's utriculoplasty Myomectomy for anterior cervical fibroid operation Tompkin's utriculoplasty Myomectomy for posterior wall fibroid Sterilisation by Irving's method *VOL-31 Excision of transverse vaginal septum Myomectomy for intracavitary fibroid Sterilisation by Uchida's method Excision of longitudinal vaginal septum Myomectomy for fibroid polyp Sterilisation by Madlener's method VOL-32 Mc Indoe's vaginoplasty Myomectomy for broad ligament fibroid Sterilisation by Parkland's method Sterilisation by Aldridge method Modified McIndoe's vaginoplasty Myomectomy for round ligament fibroid William's vulvo-vaginoplasty Sterilisation by Kroener's method Myomectomy for multiple fibroids VOL-33# Ileal neovagina Sterilisation by Oxford's method FALLOPIAN TUBES AND -E1 Sterilisation by Shirodkar's method FISTULA OPERATIONS VOL-22 Salpingo-oophorectomy Fimbriectomy VOL-34# Layer method of RVF Wedge resection of Sim's Moir saucerisation A Colour Atlas of Manchester's Operation of Manchester's A Colour Atlas ABDOMINAL WALL-F Latzko's operation Ovarian cystectomy *VOL-27 Infra-umbilical midline laparotomy VOL-35 Urethral reconstruction Ovariotomy Paramedian abdominal incision Vesicovaginal fistula VOL-23 Enucleation of broad ligament cyst Pfannenstiel's incision Vesicocervical fistula Ectopic pregnancy Kustner's incision Ureterivaginal fistula Maylard's incision RECONSTRUCTION-E2 Cherney's incision MISCELLANEOUS OPERATIONS-J VOL-24 Salpingolysis VOL-28 Abdominal closure VOL-36 Intestinal loop urinary diversion Fimbriolysis Single layer abdominal closure Urinary diversion cutaneous ureterostomy Salpingo-ovariolysis Skin closure methods Urinary diversion uretero-sigmodostomy Salpingostomy Use of drains Ureterovesicle anastomosis (psoas hitch) Incisional hernia repair Posterior colpotomy VOL-25 Cornual reimplantation Insertion of suprapubic catheter Fimbrioplasty URINARY STRESS INCONTINENCE-G Demonstration of tubal patency via Tuboplasty—Microresection and VOL-29 Retropubic urethropexy laparoscopy anastomosis Kelly's operation Demonstration of tubal patency by HSG

xii Contents

1. Manchester’s Operation: Fothergill’s Repair ...... 1 Historical Background 1 Advantages 2 Disadvantages 2 Anaesthesia 2 Preoperative Preparation 2 Intraoperative 2 2. The Operation ...... 6 Manchester’s Operation the Initial tasks 3 The Anterior Cervical Circumferential Incision 14 Securing the Cardinal Ligaments 44 Partial Amputation of the Cervix 54 Haemostatic Radial Sutures Over the Cervix 58 Tightening of the Cardinal Ligaments in Front of the Cervix 67 Creation of a Neocervix 80 Anterior Colporrhaphy 103 Posterior Colpoperineorrhaphy 133 3. Postoperative care ...... 178 Postoperative Care 178 Complications 178 Intraoperative 178 Postoperative 178 Immediate 178 Remote 178 Effect of Fothergill Repair on Subsequent Fertility and Childbirth 179 Index ...... 181